Prevalencia de espondilodiscitis en pacientes con insuficiencia renal en el Hospital General del Norte de Guayaquil IESS Los Ceibos en el periodo 2018- 2019.

Abstract

Introduction: Infectious spondylodiscitis, defined as infection of the vertebrae and intervertebral discs, is rare in the general population and in patients with chronic renal failure. Diagnosis may be delayed due to the slow onset of symptoms and the rarity of the disease. Therefore, the diagnosis can be made after the development of serious complications such as abscess in the adjacent tissue, disability, irreversible neurological deficit, or even after death, so the use of magnetic resonance imaging is necessary for an early and accurate diagnosis. Objective: To estimate the prevalence of spondylodiscitis in patients with kidney failure at the Hospital General del Norte de Guayaquil IESS Los Ceibos. Methodology: Qualitative, nonexperimental, retrospective-cross-sectional approach aimed at 29 patients with renal failure diagnosed with spondylodiscitis at the Hospital General del Norte de Guayaquil IESS Los Ceibos, where a questionnaire was applied to collect data through medical records. Results:Prevalence was 8.19% among patients with renal failure diagnosed with spondylodiscitis. Symptoms: Low back pain 65.5%, Back pain 34.5%, feverish 69%, general malaise 31%. Methicillin-sensitive Staphylococcus aureus was the microorganism with the highest presence 41.4%, methicillin-resistant Staphylococcus aureus 17.2% and Staphylococcus epidermidis 6.9%. MRI determined 65.5 % of the patients had alteration in vertebrae and disc images. Conclusions: infectious spondylodiscitis should be considered in patients with renal failure who present low back pain or fever of unknown origin, considering mainly nuclear magnetic resonance imaging.